| Regimental number | 1986 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Seaman |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Friend, Mrs Eileen Clinch, 173 Phillip Street, Sydney, New South Wales |
| Enlistment date | 21 February 1916 |
| Rank on enlistment | Private |
| Unit name | 45th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/62/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 22 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 45th Battalion |
| Fate | Returned to Australia 17 March 1917 |
